Individual
JOSEPH R DEPALO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1708 N FEDERAL HWY, LAKE WORTH, FL 33460-6668
(561) 944-6647
Mailing address
833 UNIVERSITY BLVD APT 303, JUPITER, FL 33458-3072
(508) 596-3412
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
30025262
OH
1223P0221X
Pediatric Dentistry
30025262
OH
1223P0221X
Pediatric Dentistry
Primary
DN24713
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0274059
—
OH
Enumeration date
02/13/2017
Last updated
07/22/2022
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